Leah Peterson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2919 Issued in MN

Practice address

1057 Madison Ave
Mankato, MN 56001-6143

Phone

(507) 540-0602

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1265125744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WASHINGTON AVE S",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016143",
            "telephone_number": "507-540-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Petersen
• Alex D. Peterson, FNP-C
• Angela M Peterson
• Jo A Peterson, WHCNP
• Kaylee May Peterson
• Lindsay Peterson, MS, OTR/L
• Steven P Peterson, MS, LP
• Allison Petzel, DPT
• Lindsey Kristine Smits Pfarr, OTR/L
• Taylor Marie Pfeifer

• Hearing Instrument Specialist in Mankato, MN
• Providers in Mankato, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.